Evidence map›Paper›PMID 32357378›Full record

ReviewHead & neck2020

Ethical surgical triage of patients with head and neck cancer during the COVID-19 pandemic.

Francisco J Civantos, Jason M Leibowitz, David J Arnold, Vanessa C Stubbs, Jennifer H Gross, Giovana R Thomas, Zoukaa Sargi, Roy R Casiano, Elizabeth J Franzmann, Donald Weed and 4 more

Open access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Head & neck, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. The Effects of COVID-19 on Cancer Care Provision: A Systematic Review.Cancer control : journal of the Moffitt Cancer Center
    Pooled it
  3. Pooled it
  4. Article
  5. Oral cancer management in the SARS-CoV-2 Pandemic-Indian scenario.Journal of family medicine and primary care · 2021
    Review
  6. Article
  7. The Sinonasal Outcome Test-22 or European Position Paper: Which Is More Indicative of Imaging Results?Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2021
    Observational
  8. Time for a Paradigm Shift in Head and Neck Cancer Management During the COVID-19 Pandemic.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2020
    Review
  9. Review
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Francisco J CivantosDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID https://orcid.org/0000-0002-1648-0868
Jason M LeibowitzDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
David J ArnoldDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
Vanessa C StubbsDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
Jennifer H GrossDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
Giovana R ThomasDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
Zoukaa SargiDepartment of Otolaryngology and Neurosurgery, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
Roy R CasianoDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
Elizabeth J FranzmannDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
Donald WeedDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID https://orcid.org/0000-0002-8551-7142
Cesar PerezDepartment of Medicine, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.ORCID https://orcid.org/0000-0001-5860-4921
Michael SamuelsDepartments of Radiation Oncology, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
Kenneth W GoodmanDepartment of Medicine, Institute for Bioethics and Health Policy, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
W Jarrard GoodwinDepartment of Otolaryngology, Head and Neck Division, Sylvester Cancer Center/University of Miami Miller School of Medicine, Miami, Florida, USA.
University of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus has serially overtaken our metropolitan hospitals. At peak, patients with acute respiratory distress syndrome may outnumber mechanical ventilators. In our Miami Hospital System, COVID-19 cases have multiplied for 4 weeks and elective surgery has been suspended.

methodsAn Otolaryngologic Triage Committee was created to appropriately allocate resources to patients. Hospital ethicists provided support. Our tumor conference screened patients for nonsurgical options. Patients were tested twice for coronavirus before performing urgent contaminated operations. N95 masks and protective equipment were conserved when possible. Patients with low-grade cancers were advised to delay surgery, and other difficult decisions were made.

resultsHundreds of surgeries were canceled. Sixty-five cases screened over 3 weeks are tabulated. Physicians and patients expressed discomfort regarding perceived deviations from standards, but risk of COVID-19 exposure tempered these discussions.

conclusionsWe describe the use of actively managed surgical triage to fairly balance our patient's health with public health concerns.

Indexed as

Coronavirus InfectionsCOVID-19Elective Surgical ProceduresFemaleHead and Neck NeoplasmsHospitals, UrbanHumansInfection ControlMaleOccupational HealthOtolaryngologyPandemicsPatient SafetyPatient SelectionPneumonia, ViralRisk Assessment

Identifiers

PMID32357378
PMCPMC7267510
OpenAlexW3023986166

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.